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White Plains Hospital Physician Associates
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    • Montefiore Health System and UnitedHealthcare Reach New Long-Term Agreement

Patient Forms

  • Dermatology Intake Form – Lesa Kelly, MD
  • Dermatology Intake Form-Tobi Klar, MD
  • Michael Elia MD Pt Reg Form
  • Michael Elia MD Workers Comp and No Fault
  • Orthopaedic Specialists Registration
  • Orthopaedic Specialists Workers Comp
  • Seth Gendler MD Pt Reg Form
  • Surgical Specialists Registration Forms
  • Vascular and Thoracic Associates Patient Registration Forms
  • WPHPA_Larchmont_Hematology_Oncology_Intake_Form
  • Westchester Sport and Spine Pt Reg Form
  • Westchester Thoracic
  • WPHPA Westchester Sport and Spine workers comp and no fault paperwork

Outpatient Physical Therapy Forms

  • Appointment Communication Policy
  • Back Questionnaire
  • Cancellation Policy
  • Intake Form
  • Lower Extremity Questionnaire
  • Lymphedema Life Impact Scale Questionnaire
  • Neck Questionnaire
  • Shoulder Questionnaire
  • waiver pt responsibility
Our exceptional physicians proudly practice at:
White Plains Hospital
White Plains Hospital Physician Associates
Scarsdale Medical Group
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